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Brain Abscess l: Introduction01:26

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A brain abscess is a focal, intracerebral infection characterized by a localized collection of pus within the brain parenchyma, resulting from microbial invasion and the body’s inflammatory response. It progresses through stages: early and late cerebritis, followed by early and late capsule formation, reflecting tissue destruction, immune response, and eventual encapsulation.Etiology and PathogenesisCausative organisms vary with source and host factors, often involving polymicrobial...
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Breast abscess: evidence based management recommendations.

Elaine Lam1, Tiffany Chan, Sam M Wiseman

  • 1Department of Surgery, St Paul's Hospital and University of British Columbia, Vancouver, BC, Canada.

Expert Review of Anti-Infective Therapy
|May 6, 2014
PubMed
Summary
This summary is machine-generated.

Needle aspiration is the preferred first-line treatment for breast abscesses, offering better cosmetic outcomes and faster healing. Ultrasound-guided drainage or surgery may be needed for larger or complex cases, alongside antibiotic therapy.

Keywords:
breast abscessbreast infectionincision and drainagemastitispercutaneous drainage

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Area of Science:

  • Medical Sciences
  • Surgical Oncology
  • Infectious Diseases

Background:

  • Breast abscesses are common infections requiring effective treatment.
  • Optimal management strategies are crucial for patient outcomes and minimizing complications.

Purpose of the Study:

  • To critically appraise existing literature on breast abscess treatment.
  • To summarize key recommendations for managing breast abscesses based on evidence.

Main Methods:

  • A literature review was conducted.
  • Studies were appraised for quality and level of evidence using Strength of Recommendation Taxonomy (SORT) guidelines.

Main Results:

  • Needle aspiration (with or without ultrasound guidance) is recommended as the first-line treatment for breast abscesses.
  • Ultrasound-guided percutaneous catheter placement is an alternative for larger abscesses (>3 cm).
  • Surgical incision and drainage are indicated for large (>5 cm), multiloculated, or persistent abscesses, or when percutaneous drainage fails.

Conclusions:

  • Antibiotics should be administered concurrently with all drainage procedures.
  • Patients with recurrent subareolar abscesses and fistulas require referral for surgical evaluation.